Dr Suls Family & Sports Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9753 Issued in NH

Legal business name

DR SULS FAMILY & SPORTS MEDICINE

Practice address

20 Washington PL Ste 3
Bedford, NH 03110-6743

Phone

(603) 622-2112

Fax

(603) 624-1570

NPI assigned

Jun 15, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Howard Lee Suls, M.D.

Title

Owner

Phone

(603) 622-2112

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajay Koshy, MD

  • Family Medicine Physician
  • Bedford, NH
  • NPI 1932184603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1851396006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WASHINGTON PL STE 3",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106743",
            "telephone_number": "603-622-2112",
            "fax_number": "603-624-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WASHINGTON PL STE 3",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106743",
            "telephone_number": "603-622-2112",
            "fax_number": "603-624-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SULS FAMILY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "SULS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-622-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9753",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NH",
            "license": "9753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNS VENDER #",
            "identifier": "55970",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK3214",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "2567744",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30211159",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASSACHUSETTS",
            "identifier": "M17742",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Ida Dooley, DPT
• Anne Dorney, SLP-CF
• Kimberly Edith Dorval, R.D.
• Kathryn Doucet, MS
• Michelle Sabol Dowling, OTR, CHT
• Dream Vision LLC
• Alex M Dressler, M.D.
• DRGS Psych SVCS LLC
• Nicholas Driscoll
• Susan Cheryl Drown, COTAL

• Family Medicine Physician in Bedford, NH
• Providers in Bedford, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.